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Hidradenitis Suppurativa and Peripheral Ulcerative Keratitis
Indira Acharya1, Mohamed I Jalloh2, Caroline D Trevisan2
1Medstar Health Internal Medicine Residency Program, Baltimore, MD, USA.
Hidradenitis suppurativa (HS) rarely causes eye inflammation. This case highlights a rare instance of peripheral ulcerative keratitis (PUK) in a patient with severe HS, suggesting a potential link between these conditions.
Area of Science:
- Ophthalmology
- Dermatology
- Rheumatology
Background:
- Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition.
- Ocular manifestations of HS are uncommon, typically presenting as anterior uveitis.
- Peripheral ulcerative keratitis (PUK) is a severe inflammatory eye condition.
Observation:
- This report details a unique case of PUK in a patient with severe HS.
- Extensive infectious and rheumatological workups were negative.
- This presentation prompted consideration of a potential association between PUK and HS.
Findings:
- The co-occurrence of PUK and HS is exceedingly rare.
- Only six cases of PUK associated with HS have been previously documented.
- This case adds to the limited evidence suggesting a link between HS and PUK.
Implications:
- This case underscores the importance of considering dermatological conditions like HS in the differential diagnosis of PUK.
- Further research may elucidate the underlying mechanisms connecting HS and PUK.
- Recognition of this association can potentially improve patient management and outcomes.
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